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Laparoscopic Conversion to Sleeve Gastrectomy After Gastric Clipping for Morbid Obesity—Video Presentation

  • Hui-Yu Chuang
  • Chih-Kun Huang
  • Po-Chih ChangEmail author
Video Submission
  • 74 Downloads

Abstract

Purpose

Laparoscopic gastric clipping is a relatively novel bariatric surgical procedure, which can yield significant weight loss via a restriction of gastric expansion. Medical literature regarding the postoperative complications of this procedure is currently scarce. To this end, we submit here a video presentation of a corrective laparoscopic gastric sleeve procedure performed after an initial gastric clipping that failed to provide adequate weight loss and led to intractable belching.

Materials and Methods

A 40-year-old, morbidly obese woman (initial body mass index is 35.3 kg/m2) presented with intractable belching and minimal weight loss 6 months after initial laparoscopic gastric clipping at another institution. A laparoscopic revisional procedure with gastric clip removal and conversion to sleeve gastrectomy was conducted to relieve her condition.

Results

The procedure took 270 min without any intraoperative complications. Blood loss was recorded at 100 mL. The patient had an uneventful postoperative course with a postoperative hospital stay of 2 days. The patient’s symptoms were relieved successfully after this revisional surgery.

Conclusion

Laparoscopic removal of gastric clip with concomitant revision to sleeve gastrectomy is technically feasible in our patient.

Keywords

Belching Complication Laparoscopic gastric clipping Laparoscopic sleeve gastrectomy Revisional surgery 

Notes

Compliance with Ethical Standards

Conflict of Interest Disclosures

The authors declare that they have no conflict of interest.

Statement of Informed Consent

Informed consent was obtained from all individual participants included in the study.

Statement of Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Supplementary material

ESM 1

(MP4 367182 kb)

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyKaohsiung Medical University Hospital/Kaohsiung Medical UniversityKaohsiung CityTaiwan
  2. 2.Body Science and Metabolic Disorders International (BMI) Medical CenterChina Medical University HospitalTaichung CityTaiwan
  3. 3.Division of Thoracic Surgery, Department of SurgeryKaohsiung Medical University Hospital/Kaohsiung Medical UniversityKaohsiung CityTaiwan
  4. 4.Weight Management CenterKaohsiung Medical University Hospital/Kaohsiung Medical UniversityKaohsiung CityTaiwan
  5. 5.Translation Research CenterKaohsiung Medical University Hospital/Kaohsiung Medical UniversityKaohsiung CityTaiwan
  6. 6.Department of Sports Medicine, College of MedicineKaohsiung Medical UniversityKaohsiung CityTaiwan

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